Claims Processor
Claims Processor
HealthCare Support is actively seeking a Claims Processor to fill an opening with a Health Plan in Rancho Cucamonga, CA.
Daily Responsibilities for Claims Processor:
- Responsible for analyzing and processing claims EDI error queues prior to claim adjudication, correcting claim information and data integrity.
- Processes professional claims as assigned by Supervisor or Manager based upon the team member’s knowledge, experience and billing and coding training.
- Prepare outgoing correspondence for the Claims Department including misdirected claims, additional information requests, and other mailings as needed.
- Shift/Remote: M-F, 8-5 PST, WFH position – must be willing to come in to the office for training if needed, need to be within 1-2 hours of Rancho Cucamonga
Required Qualifications for Claims Processor:
- HS Diploma or GED
- 2+ years of claims/data processing experience
- Experience adjudicating, reviewing, and editing medical claims preferably in an HMO or Managed Care setting
- Processing of Medicare and Medi-Cal claims experience required – SHOW ON RESUME
- Knowledge of CPT/ICD CODES
- Knowledge of Medical Terminology
- Health Insurance knowledge
- Computer Skills: Microsoft Office, Outlook, Excel
- Soft skills: Attention to detail, problem solving skills, time management skills, analytical skills
- Ability to work from home – smart phone, private work space, high speed internet
- Must have a valid California Driver’s license
Benefits for Claims Processor:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $22.20/Hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to Maricar.Vargas@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.